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Deficiency Records for Saint Mary Home
View the most recent health deficiencies and inspection results for Saint Mary Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Saint Mary Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-04 | 2026-01-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-19 | 2025-11-26 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-11-12 | 2024-12-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-12 | 2024-12-20 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-11-12 | 2024-12-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-12 | 2024-12-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-12 | 2024-12-20 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-11-12 | 2024-12-20 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-11-12 | 2024-12-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-11-12 | 2024-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-12 | 2024-12-11 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2024-11-12 | 2024-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-12 | 2024-12-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-11-12 | 2024-12-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-12 | 2024-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-10 | 2024-10-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-10 | 2024-10-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-08 | 2024-09-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-11 | 2024-07-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-26 | 2024-03-15 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-02-16 | 2022-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-16 | 2022-03-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-16 | 2022-03-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-16 | 2022-03-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-16 | 2022-03-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-02-16 | 2022-03-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-16 | 2022-03-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-02-16 | 2022-02-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-02-16 | 2022-02-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-16 | 2022-02-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-16 | 2022-02-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-16 | 2022-02-24 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-25 | 2019-09-04 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-07-25 | 2019-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-25 | 2019-09-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-25 | 2019-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-25 | 2019-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-08-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-25 | 2019-08-30 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-07-25 | 2019-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-08-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2026-03-03 | Not Fixed | Y |